Laparoscopic surgery of ectopic gestational sac implanted in the cesarean section scar.
OBJECTIVE
The feasibility and outcome of laparoscopic surgery for patients with ectopic pregnancy in the cesarean section scar was studied.


METHODS
From January 2003 to June 2007, 7 of 9 patients diagnosed with ectopic pregnancy in a previous cesarean section scar underwent laparoscopic removal of the gestational sac at our department. A retrospective review of medical records of these patients was performed.


RESULTS
In all of them, the ectopic gestational sac was successfully removed by laparoscopy without converting to laparotomy and the scar defect was repaired by intracorporeal sutures. The mean operation time was 98 minutes (range: 30 to 210 min) and mean hemoglobin drop after operation was 2.3 g/dL (range: 1.2 to 3.4 g/dL). The mean postoperative hospital stay was 4.3 days (range: 3 to 7 d). None of the patients required additional methotrexate administration postoperatively.


CONCLUSIONS
Laparoscopic removal of ectopic gestational sac within a cesarean scar seems to be a feasible and safe procedure that might be considered as a treatment option.
Lee
Jung Han
JH
Department of Obstetrics and Gynecology, Hanyang University Guri Hospital, College of Medicine, Hanyang University, South Korea.
Kim
Seong Hee
SH
Cho
Sam Hyun
SH
Kim
Seung Ryong
SR
D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix / Q000601:surgery; D005321:Extraembryonic Membranes / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000473:pathology / Q000601:surgery*